§ 256R.22 — Case Mix Adjusted Total Payment Rate
Plain-Language Summary
The commissioner calculates a case mix adjusted payment rate for each resident classification. The direct care portion of the rate is multiplied by the case mix index for that classification. Higher-need residents have a higher case mix index, so the facility gets paid more per day for their care.
256R.22 CASE MIX ADJUSTED TOTAL PAYMENT RATE.
§
Subdivision 1.Case mix adjusted payment rates generally.
For each facility, the commissioner shall calculate case mix adjusted payment rates for each case mix classification. §
Subd. 2.Determination of case mix adjusted total care-related payment rates.
A facility’s case mix adjusted total care-related payment rate for each case mix classification is the sum of:
(1) its direct care payment rate as determined in section 256R.23, subdivision 7, multiplied by the case mix index; and
(2) its other care-related payment rate as determined in section 256R.23, subdivision 8. §
Subd. 3.Determination of case mix adjusted operating payment rates.
A facility’s case mix adjusted operating payment rate for each case mix classification is the sum of:
(1) its case mix adjusted total care-related payment rate as determined in subdivision 2; and
(2) its other operating payment rate as determined in section 256R.24. §
Subd. 4.Determination of case mix adjusted total payment rates.
A facility’s case mix adjusted total payment rate for each case mix classification is the sum of:
(1) its case mix adjusted operating payment rate as determined in subdivision 3;
(2) its external fixed costs payment rate as determined in section 256R.25; and
(3) its property payment rate as determined in section 256R.26.
History:
History: History:
2016 c 99 art 1 s 17